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NPI Code Detail

MEDICARE: MARIA ESTELA MORA DDS INC

MEDICARE: MARIA ESTELA MORA DDS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN-0012758FL

General Provider Information

NPI Number : 1194983049
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA ESTELA MORA DDS INC
Provider Business Mailing Address
First Line : 1051 W 29TH ST
Second Line : STE 4
City : HIALEAH
State : FL
Zip : 33012-5057
Country : US
Telephone Number : 305-887-0387
Fax Number : 305-887-2089
Provider Business Practice Location Address
First Line : 1051 W 29TH ST
Second Line : STE 4
City : HIALEAH
State : FL
Zip : 33012-5057
Country : US
Telephone Number : 305-887-0387
Fax Number : 305-887-2089
Authorized Official
Title or Position : OWNER
Name : DR. MARIA E MORA
Credential :
Telephone Number : 305-887-0387
Provider Enumeration Date : 05/28/2008
Last Update Date : 05/28/2008

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Directions to “MARIA ESTELA MORA DDS INC ” Practice Location

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